Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1699159723

Impact Physical Therapy LLC is a Physical Therapy Clinic/Center in Evanston, Wyoming. Licensed in Wyoming. Registered with an NPI since 2015.

Licensed in
WY
In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

96 Yellow Creek Rd
Evanston, WY 82930
Phone: (307) 444-4466
Fax: (307) 444-4468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT1568 (WY)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence PT 1683 (WY)

Record details

NPI number1699159723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Dennis — Owner · (801) 209-4466
Other names Impact Physical Therapy
NPI enumeratedJuly 18, 2015
Last updated in NPPESFebruary 13, 2017
Mailing address96 Yellow Creek Road, Evanston, WY 82930

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